894 — Alcohol, Drug Abuse Or Dependence, Left Ama
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA (OTHER 894) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/894?code_type=OTHER
MLA (9th ed.)
“ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA (OTHER 894) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/894?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA (OTHER 894) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/894?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,084–$7,868 (25th–75th percentile) across 625 hospitals · 1,946 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 894 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Vantage Health Plan | Vantage Health Plan | $0.03 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $8.32 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $8.76 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $9.49 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $9.80 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Commercial | $11.08 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $11.68 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $12.26 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $14.60 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $14.60 | $14.60 | $10.37 | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $20.25 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Aetna | MCR | $21.88 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Aetna | MCR | $21.88 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Aetna | MCR | $21.88 | — | — | 2026-03-01 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Cha | Employer Group 4 | $27.00 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Immergrun | Commercial | $27.00 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 1 | $28.80 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Php | Commercial Select | $29.25 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | Exchange | $29.25 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 2 | $29.70 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Commercial | $30.24 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Aetna | Commercial | $30.47 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Humana | Commercial | $30.90 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Humana | Commercial | $31.50 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Php | Commercial | $31.50 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Multiplan | Commercial | $32.40 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cigna | Oap | $32.40 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Signature | Commercial | $32.85 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Encore | Commercial | $33.30 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cigna Sagamore | Ppo | $34.20 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 3 | $35.10 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Immergrun | Commercial | $36.00 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Plain Church | Commercial | $36.00 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | HARVARD PILGRIM HEALTHCARE, INC. | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL PREFERRED | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | Connecticut General Life Insurance Company | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | MULTIPLAN, INC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | PRIVATE HEALTHCARE | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Heartland | Hospice | $45.00 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | HARVARD PILGRIM HEALTHCARE, INC. | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | PRIVATE HEALTHCARE SYSTEM | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | MULTIPLAN, INC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | COMMERCIAL | — | — | — | 2026-02-28 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | AETNA HEALTH MANAGEMENT, LLC | RI PREFERRED | — | — | — | 2026-02-28 | MRF ↗ |
| BUTLER HOSPITAL InpatientFacility | Harvard Pilgrim Health Care, Inc. | Commercial | — | — | — | 2026-02-28 | MRF ↗ |
| BUTLER HOSPITAL InpatientFacility | Multiplan, Inc | Commercial | — | — | — | 2026-02-28 | MRF ↗ |
| BUTLER HOSPITAL InpatientFacility | Aetna Health Management, LLC | Commercial Preferred | — | — | — | 2026-02-28 | MRF ↗ |
| BUTLER HOSPITAL InpatientFacility | Private Healthcare | Commercial | — | — | — | 2026-02-28 | MRF ↗ |
| LITTLE COLORADO MEDICAL CENTER Inpatient | Blue Cross Blue Shield Of Az | Indemnity/Ppo/Hmo | $57.18 | — | — | 2026-05-22 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip | $58.50 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mdwise | In Medicaid Hip | $58.50 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Caresource | In Medicaid Hip | $58.50 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip Bh | $58.50 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Inpatient | Aetna Meritain Centra Employee | Ip Op Plans | — | — | — | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Inpatient | Aetna Ppo Meritain Health Carilion Employee Exchange | Ip Plans | — | — | — | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Inpatient | Aetna Ppo Meritain Health Carilion Employee Exchange | Op Plans | — | — | — | 2026-05-13 | MRF ↗ |
| TRISTAR SKYLINE MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $105.03 | — | — | 2026-03-12 | MRF ↗ |
| TRISTAR SOUTHERN HILLS MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $105.03 | — | — | 2026-03-12 | MRF ↗ |
| Riverside Community Hospital Outpatient | Bristol Hospice | MGMCR | $116.70 | — | — | 2026-03-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $118.08 | — | — | 2026-01-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $123.98 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Molina Healthcare | MGMCD | $123.98 | — | — | 2026-03-01 | MRF ↗ |
| HCA HEALTHONE PRESBYTERIAN ST LUKES Outpatient | OptumHealth Care Solutions | MCD | $123.99 | — | — | 2026-03-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $125.27 | — | — | 2026-01-01 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Advantage | $131.63 | — | — | 2026-05-07 | MRF ↗ |
| ST MARY'S REGIONAL MEDICAL CENTER Outpatient | Blue Cross Blue Shield Of Ok | Qhp | $131.63 | — | — | 2026-05-07 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Thome Pace | Medicare Advantage | $136.79 | — | — | 2026-05-13 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | WellMed | MCR | $137.85 | — | — | 2026-03-01 | MRF ↗ |
| TRISTAR CENTENNIAL MEDICAL CENTER Outpatient | Wellpoint | MGMCD | $138.58 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $138.58 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $138.58 | — | — | 2026-03-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Outpatient | WellMed | MGMCR | $138.58 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Humana | MCRHMO | $140.04 | — | — | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Humana | MCRHMO | $140.04 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S MEDICAL CENTER Outpatient | WellMed | MGMCR | $141.49 | — | — | 2026-03-01 | MRF ↗ |
| ROUND ROCK MEDICAL CENTER Outpatient | WellMed | MGMCR | $141.49 | — | — | 2026-03-01 | MRF ↗ |
| DOCTORS HOSPITAL OF MANTECA Outpatient | Health Net | FED | $141.49 | — | — | 2026-03-01 | MRF ↗ |
| SUNRISE HOSPITAL AND MEDICAL CENTER OutpatientFacility | Humana | MCRHMO | $141.49 | — | — | 2026-03-01 | MRF ↗ |
| NORTH AUSTIN MEDICAL CENTER Outpatient | WellMed | MGMCR | $141.49 | — | — | 2026-03-01 | MRF ↗ |
| HEART HOSPITAL OF AUSTIN Outpatient | WellMed | MGMCR | $141.49 | — | — | 2026-03-01 | MRF ↗ |
| ST DAVID'S SOUTH AUSTIN MEDICAL CENTER Outpatient | WellMed | MGMCR | $141.49 | — | — | 2026-03-01 | MRF ↗ |
| MOUNTAINVIEW HOSPITAL Outpatient | Humana | MCRHMO | $141.49 | — | — | 2026-03-01 | MRF ↗ |
| St. David's Georgetown Hospital Outpatient | WellMed | MGMCR | $141.49 | — | — | 2026-03-01 | MRF ↗ |
| FAIRVIEW PARK HOSPITAL Outpatient | Health Net | FED | $141.49 | — | — | 2026-03-01 | MRF ↗ |
| SOUTHERN HILLS HOSPITAL AND MEDICAL CENTER Outpatient | Humana | MCRHMO | $141.49 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE TOMBALL Outpatient | Oscar | MGMCR | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | BCBS | TriWest | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| WOMANS HOSPITAL OF TEXAS,THE Outpatient | Oscar | MGMCR | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CONROE Outpatient | Oscar | MGMCR | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Outpatient | Oscar | MGMCR | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| LAS PALMAS MEDICAL CENTER A CAMPUS OF LPDS HEALTHC Outpatient | BCBS | MCD | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| BRIGHAM CITY COMMUNITY HOSPITAL Outpatient | Coventry Altius | MCR | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON REHABILITATION HOSPITAL SOUTHEAST Outpatient | Oscar | MGMCR | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| RAPIDES REGIONAL MEDICAL CENTER Outpatient | TriWest Healthcare Alliance | GVT | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| Galveston Co Mem Hosp Outpatient | Oscar | MGMCR | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER Outpatient | Oscar | MGMCR | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | TriWest Healthcare Alliance | VeteransPCCC | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE CLEAR LAKE Outpatient | Oscar | MGMCR | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE SOUTHEAST Outpatient | Oscar | MGMCR | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | TriWest | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE KINGWOOD Outpatient | Oscar | MGMCR | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE PEARLAND Outpatient | Oscar | MGMCR | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE WEST Outpatient | Oscar | MGMCR | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| Highlands Rehabilitation Hospital Outpatient | BCBS | MCD | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| MEDICAL CITY WEATHERFORD Outpatient | BCBS | TriWestGOV | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| RIO GRANDE REGIONAL HOSPITAL Outpatient | WellMed | MGMCR | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| Global Rehabilitation Hospital Outpatient | TriWest VA PCCC | FEDERAL | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| CACHE VALLEY HOSPITAL Outpatient | Coventry Altius | MCR | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTHWEST Outpatient | Oscar | MGMCR | $142.95 | — | — | 2026-03-01 | MRF ↗ |
| HCA HOUSTON HEALTHCARE NORTH CYPRESS Outpatient | Oscar | MGMCR | $143.07 | — | — | 2026-05-14 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Amerigroup | Medicare Advantage | $143.99 | — | — | 2026-05-13 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE 1309 | UNITED HEALTHCARE MEDICARE 130901 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Aetna | Medicare Advantage | $143.99 | — | — | 2026-05-13 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | FIDELIS MEDICARE 1311 | FIDELIS MEDICARE 131101 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | AETNA MEDICARE 1300 | AETNA MEDICARE 130001 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Wellcare | Medicare Advantage | $143.99 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Bcbs | Medicare Advantage | $143.99 | — | — | 2026-05-13 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Wellcare | Medicare Advantage | $143.99 | — | — | 2026-05-09 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | United Healthcare | Medicare Advantage | $143.99 | — | — | 2026-05-13 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Outpatient | Bcbs | Medicare | $143.99 | — | — | 2026-05-13 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | HUMANA MEDICARE 1312 | HUMANA MEDICARE 131201 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | HUMANA MEDICARE 1312 | HUMANA MEDICARE 131201 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Outpatient | Medicare | Medicare | $143.99 | — | — | 2026-05-13 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Medicare | Medicare | $143.99 | — | — | 2026-05-09 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | WELLCARE MEDICARE 1310 | WELLCARE MEDICARE 131001 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Wellmed | Medicare Advantage | $143.99 | — | — | 2026-05-09 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Outpatient | Bcbs | Medicare | $143.99 | — | — | 2026-05-13 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICARE 1311 | FIDELIS MEDICARE 131101 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Aetna | Medicare Advantage | $143.99 | — | — | 2026-05-09 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Outpatient | Medicare | Medicare | $143.99 | — | — | 2026-05-13 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Outpatient | Bcbs | Medicare | $143.99 | — | — | 2026-05-13 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Outpatient | Medicare | Medicare | $143.99 | — | — | 2026-05-13 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | INDEPENDENT HEALTH MEDICARE 1305 | INDEPENDENT HEALTH MEDICARE 130501 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | El Paso Health Dual | Medicare Advantage | $143.99 | — | — | 2026-05-09 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Amerigroup Tx | Medicare Advantage | $143.99 | — | — | 2026-05-06 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | HUMANA MEDICARE 1312 | HUMANA MEDICARE 131201 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICARE 1311 | FIDELIS MEDICARE 131101 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| MCLEOD HEALTH CHERAW Outpatient | Bcbs | Medicare | $143.99 | — | — | 2026-05-24 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | El Paso Health Dual | Medicare Advantage | $143.99 | — | — | 2026-05-06 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | FIDELIS MEDICARE 1311 | FIDELIS MEDICARE 131101 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| MCLEOD HEALTH CHERAW Outpatient | Medicare | Medicare | $143.99 | — | — | 2026-05-24 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Molina | Qhp | $143.99 | — | — | 2026-05-06 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Outpatient | Medicare | Medicare | $143.99 | — | — | 2026-05-24 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD 5143 | HIGHMARK BCBS 514301 HMO / POS | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | AETNA MEDICARE 1300 | AETNA MEDICARE 130001 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 | HIGHMARK BCBS MEDICARE 130101 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | WELLCARE MEDICARE 1310 | WELLCARE MEDICARE 131001 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE 1309 | UNITED HEALTHCARE MEDICARE 130901 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Outpatient | Bcbs | Medicare | $143.99 | — | — | 2026-05-24 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HUMANA MEDICARE 1312 | HUMANA MEDICARE 131201 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Medicare | Medicare | $143.99 | — | — | 2026-05-23 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE 1309 | UNITED HEALTHCARE MEDICARE 130901 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Triwest | Medicare Advantage | $143.99 | — | — | 2026-05-17 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | WELLCARE MEDICARE 1310 | WELLCARE MEDICARE 131001 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | TOTAL SENIOR CARE 1319 | TOTAL SENIOR CARE 131901 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Medicare | Medicare | $143.99 | — | — | 2026-05-17 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 | HIGHMARK BCBS MEDICARE 130101 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Humana | Medicare Advantage | $143.99 | — | — | 2026-05-17 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE 1309 | UNITED HEALTHCARE MEDICARE 130901 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Wellcare | Medicare Advantage | $143.99 | — | — | 2026-05-17 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | Aetna | Medicare Advantage | $143.99 | — | — | 2026-05-17 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD 5143 | HIGHMARK BCBS 514301 INDEMNITY / PPO | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| REEDSBURG AREA MEDICAL CENTER Outpatient | Medicare | Medicare | $143.99 | — | — | 2026-05-15 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 | HIGHMARK BCBS MEDICARE 130101 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| MATAGORDA REGIONAL MEDICAL CENTER Outpatient | United | Medicare Advantage | $143.99 | — | — | 2026-05-17 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD 5143 | HIGHMARK BCBS 514301 HMO / POS | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD 5143 | HIGHMARK BCBS 514301 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | FIDELIS MEDICARE 1311 | FIDELIS MEDICARE 131101 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Aetna | Medicare Advantage | $143.99 | — | — | 2026-05-06 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | TOTAL SENIOR CARE 1319 | TOTAL SENIOR CARE 131901 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| MCLEOD HEALTH CHERAW Outpatient | Bcbs | Medicare | $143.99 | — | — | 2026-05-13 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Outpatient | Medicare | Medicare | $143.99 | — | — | 2026-05-14 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD 5143 | HIGHMARK BCBS 514301 INDEMNITY / PPO | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | HUMANA MEDICARE 1312 | HUMANA MEDICARE 131201 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | WELLCARE MEDICARE 1310 | WELLCARE MEDICARE 131001 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Amerigroup Tx | Medicare Advantage | $143.99 | — | — | 2026-05-09 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Outpatient | Bcbs | Medicare | $143.99 | — | — | 2026-05-14 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Outpatient | Molina | Qhp | $143.99 | — | — | 2026-05-09 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Outpatient | AETNA MEDICARE 1300 | AETNA MEDICARE 130001 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| McLeod Health Seacoast Outpatient | Bcbs | Medicare | $143.99 | — | — | 2026-05-13 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | WELLCARE MEDICARE 1310 | WELLCARE MEDICARE 131001 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Outpatient | UNITED HEALTHCARE MEDICARE 1309 | UNITED HEALTHCARE MEDICARE 130901 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| McLeod Health Seacoast Outpatient | Medicare | Medicare | $143.99 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Hap | Medicare Advantage | $143.99 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Priority Health | Medicare Advantage | $143.99 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Wellmed | Medicare Advantage | $143.99 | — | — | 2026-05-06 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Medicare | Medicare | $143.99 | — | — | 2026-05-13 | MRF ↗ |
| HILLSDALE HOSPITAL Outpatient | Humana | Medicare Advantage | $143.99 | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Outpatient | Medicare | Medicare | $143.99 | — | — | 2026-05-06 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | ELDERPLAN 1316 | ELDERPLAN 131601 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | MEDICARE BLUE CHOICE 1306 | MEDICARE BLUE CHOICE 130601 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Outpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICARE 1301 | HIGHMARK BCBS MEDICARE 130101 | $143.99 | — | — | 2026-01-01 | MRF ↗ |
| MCLEOD HEALTH CHERAW Outpatient | Medicare | Medicare | $143.99 | — | — | 2026-05-13 | MRF ↗ |
| CENTERPOINT MEDICAL CENTER Outpatient | BCBS | MCRPPO | $144.41 | — | — | 2026-03-01 | MRF ↗ |
| BELTON REGIONAL MEDICAL CENTER Outpatient | Coventry | MedicareAdvantage | $144.41 | — | — | 2026-03-01 | MRF ↗ |
| Spalding Rehabilitation Hospital Outpatient | Humana | MCR | $144.41 | — | — | 2026-03-01 | MRF ↗ |
| SKY RIDGE MEDICAL CENTER Outpatient | Humana | MCR | $144.41 | — | — | 2026-03-01 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.